Individual
MS. MARIA ANTONIA KEELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8152
Mailing address
1822 COLLEGEWOOD ST, YPSILANTI, MI 48197-1712
(734) 255-8017
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1054998
MI
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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